经脐单孔腹腔镜在妇科附件良性疾病中的临床应用价值#br#

Clinical application of laparoendoscopic single-site surgery in benign adnexal lesions

Objective?To study the clinical application value of laparoendoscopic single-site surgery (LESS) in benign adnexal lesions. Methods?A retrospective case analysis of 208 patients who underwent accessory surgery in our hospital from May 2017 to March 2019, 68 of which underwent laparoendoscopic single-site surgery(LESS group) and 140 underwent general surgery laparoscopic surgery (control group), compare the perioperative period and follow-up of the two groups of patients. Results?The operation time of different diseases in LESS group was longer than that of the control group (P＜0.05) unilateral ovarian teratoma/cystectomy (49.7±7.3) min vs (33.6±7.2) min]; bilateral ovarian teratoma resection (68.2±7.3) min vs. (50.1±4.2) min]; the postoperative hospital stay in LESS group was shortened (P＜0.05) (3.12±0.39) d) vs. (3.57±0.29) d],  and the 24-hour pain (VAS) score of the LESS group was lower than that of the control group (P＜0.05) (3.23±0.12) points vs (3.45±0.20) points], the postoperative incision cosmetic satisfaction was higher (P＜0.05). There was no statistically significant difference between the two groups of patients in intraoperative blood loss, postoperative exhaust time, postoperative time to get out of bed, postoperative analgesics use, and postoperative fever (P＞0.05); There were no complications such as visceral injury and incisional hernia after the operation. Conclusion?The application of LESS in benign adnexal lesions is feasible. Although the operation time is long relatively, it has the advantages of fast postoperative recovery, postoperative pain reduction and cosmetic advantages.